| NPI | 1073062725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINA E UDEAGHA Administrator/ Director 734-560-5014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MI 6801084613) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801084613) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2017-03-08 |